KWASI K. AMPOMAH – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1629632211
Pain Medicine (Physical Medicine & Rehabilitation) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
325 PAIN MANAGEMENT in OH
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Provider Addresses for KWASI K. AMPOMAH
West Broad Street, Columbus, Ohio, 43119, United States
COLUMBUS, OH 432281672
Phone: (614) 544-1000
Type: Location
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 300468768
Phone: (770) 962-3642
Fax: (770) 962-3643
Type: Mailing
5000 COX RD
GLEN ALLEN, VA 230609263
Phone:
Type: Mailing
332 NEWTOWN RD
VIRGINIA BEACH, VA 234621793
Phone: (614) 544-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,250.
Total Amount is formed as General ($1,250) + Research ($0) + Ownership ($0) = $1,250.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Medtronic, Inc. ($1,101).
Total Amount
$1,250
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,250
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,101 |
| SI-BONE, INC. | $128 |
| Vertos Medical, Inc. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241010000023 | I | Interventional Pain Management | TN | TBD |
| I20250205000331 | I | Pain Management | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43228)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Interventional Pain Management | MS | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Neurology, Pain Management, Pain Management | TN | |
| Physician Assistant | GA | |
| Anesthesiology, Pain Management | GA | |
| Nurse Practitioner | GA |
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